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Experiences and evaluations of sex and reproductive health education, and fertility knowledge, among 18- to 19-year-old Japanese university students: a 2023 baseline survey.

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Title: Experiences and evaluations of sex and reproductive health education, and fertility knowledge, among 18- to 19-year-old Japanese university students: a 2023 baseline survey.
Authors: Akizuki, Yuri1 (AUTHOR) yuriaki@educ.kumamoto-u.ac.jp, Maeda, Eri2 (AUTHOR), Okinaga, China3 (AUTHOR), Sato, Midori4 (AUTHOR), Mouri, Yukina5 (AUTHOR), Takagishi, Yukihiro6 (AUTHOR), Biswakarma, Rina7 (AUTHOR), Harper, Joyce C8 (AUTHOR)
Source: Sex Education. Jul2026, Vol. 26 Issue 4, p504-517. 14p.
Subject Terms: *Curriculum, *Family planning, *High schools, *Sex education, *Parent-child relationships, *Universities & colleges, *Communication, *Psychology of college students, Fertility, Health literacy, Reproductive health, Health attitudes, Research funding, Chi-squared test, Descriptive statistics, Surveys, Data analysis software, Sexual health
Geographic Terms: Japan
Abstract: The sex and reproductive health education provided at school in Japan may not provide young people with an adequate understanding of fertility. This study investigated fertility knowledge and its relationship to sex education experiences and conversations with parents, among 18- to 19-year-old Japanese university students. A web-based questionnaire survey was completed by 759 first-year university students who had completed upper secondary school health education curriculum prior to its revision in the year 2018. Less than 10% of participants had learned about fertility in school or elsewhere. No participants had learned about the fertile window at school, and the correct response rate to the question about fertile window was only 28.5%. While 71.3% of participants rated their sex education at school as 'adequate', those who rated it as 'poor' or 'very poor' achieved higher correct response rates on fertility-related questions, for reasons that are unclear. Conversations with parents about sex, fertility, and family planning were infrequent, and participants expressed little interest in having them. Study findings underscore the need for comprehensive sexuality education in addition to increased fertility awareness in the community, to help young people make informed decisions about reproductive and sexual health. [ABSTRACT FROM AUTHOR]
Copyright of Sex Education is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Education Research Complete
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  Data: Experiences and evaluations of sex and reproductive health education, and fertility knowledge, among 18- to 19-year-old Japanese university students: a 2023 baseline survey.
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  Data: <searchLink fieldCode="AR" term="%22Akizuki%2C+Yuri%22">Akizuki, Yuri</searchLink><relatesTo>1</relatesTo> (AUTHOR)<i> yuriaki@educ.kumamoto-u.ac.jp</i><br /><searchLink fieldCode="AR" term="%22Maeda%2C+Eri%22">Maeda, Eri</searchLink><relatesTo>2</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Okinaga%2C+China%22">Okinaga, China</searchLink><relatesTo>3</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Sato%2C+Midori%22">Sato, Midori</searchLink><relatesTo>4</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Mouri%2C+Yukina%22">Mouri, Yukina</searchLink><relatesTo>5</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Takagishi%2C+Yukihiro%22">Takagishi, Yukihiro</searchLink><relatesTo>6</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Biswakarma%2C+Rina%22">Biswakarma, Rina</searchLink><relatesTo>7</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Harper%2C+Joyce+C%22">Harper, Joyce C</searchLink><relatesTo>8</relatesTo> (AUTHOR)
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  Data: <searchLink fieldCode="JN" term="%22Sex+Education%22">Sex Education</searchLink>. Jul2026, Vol. 26 Issue 4, p504-517. 14p.
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  Data: *<searchLink fieldCode="DE" term="%22Curriculum%22">Curriculum</searchLink><br />*<searchLink fieldCode="DE" term="%22Family+planning%22">Family planning</searchLink><br />*<searchLink fieldCode="DE" term="%22High+schools%22">High schools</searchLink><br />*<searchLink fieldCode="DE" term="%22Sex+education%22">Sex education</searchLink><br />*<searchLink fieldCode="DE" term="%22Parent-child+relationships%22">Parent-child relationships</searchLink><br />*<searchLink fieldCode="DE" term="%22Universities+%26+colleges%22">Universities & colleges</searchLink><br />*<searchLink fieldCode="DE" term="%22Communication%22">Communication</searchLink><br />*<searchLink fieldCode="DE" term="%22Psychology+of+college+students%22">Psychology of college students</searchLink><br /><searchLink fieldCode="DE" term="%22Fertility%22">Fertility</searchLink><br /><searchLink fieldCode="DE" term="%22Health+literacy%22">Health literacy</searchLink><br /><searchLink fieldCode="DE" term="%22Reproductive+health%22">Reproductive health</searchLink><br /><searchLink fieldCode="DE" term="%22Health+attitudes%22">Health attitudes</searchLink><br /><searchLink fieldCode="DE" term="%22Research+funding%22">Research funding</searchLink><br /><searchLink fieldCode="DE" term="%22Chi-squared+test%22">Chi-squared test</searchLink><br /><searchLink fieldCode="DE" term="%22Descriptive+statistics%22">Descriptive statistics</searchLink><br /><searchLink fieldCode="DE" term="%22Surveys%22">Surveys</searchLink><br /><searchLink fieldCode="DE" term="%22Data+analysis+software%22">Data analysis software</searchLink><br /><searchLink fieldCode="DE" term="%22Sexual+health%22">Sexual health</searchLink>
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  Label: Geographic Terms
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  Data: <searchLink fieldCode="DE" term="%22Japan%22">Japan</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: The sex and reproductive health education provided at school in Japan may not provide young people with an adequate understanding of fertility. This study investigated fertility knowledge and its relationship to sex education experiences and conversations with parents, among 18- to 19-year-old Japanese university students. A web-based questionnaire survey was completed by 759 first-year university students who had completed upper secondary school health education curriculum prior to its revision in the year 2018. Less than 10% of participants had learned about fertility in school or elsewhere. No participants had learned about the fertile window at school, and the correct response rate to the question about fertile window was only 28.5%. While 71.3% of participants rated their sex education at school as 'adequate', those who rated it as 'poor' or 'very poor' achieved higher correct response rates on fertility-related questions, for reasons that are unclear. Conversations with parents about sex, fertility, and family planning were infrequent, and participants expressed little interest in having them. Study findings underscore the need for comprehensive sexuality education in addition to increased fertility awareness in the community, to help young people make informed decisions about reproductive and sexual health. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
  Group: Ab
  Data: <i>Copyright of Sex Education is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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RecordInfo BibRecord:
  BibEntity:
    Identifiers:
      – Type: doi
        Value: 10.1080/14681811.2025.2523306
    Languages:
      – Code: eng
        Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 14
        StartPage: 504
    Subjects:
      – SubjectFull: Curriculum
        Type: general
      – SubjectFull: Family planning
        Type: general
      – SubjectFull: High schools
        Type: general
      – SubjectFull: Sex education
        Type: general
      – SubjectFull: Parent-child relationships
        Type: general
      – SubjectFull: Universities & colleges
        Type: general
      – SubjectFull: Communication
        Type: general
      – SubjectFull: Psychology of college students
        Type: general
      – SubjectFull: Fertility
        Type: general
      – SubjectFull: Health literacy
        Type: general
      – SubjectFull: Reproductive health
        Type: general
      – SubjectFull: Health attitudes
        Type: general
      – SubjectFull: Research funding
        Type: general
      – SubjectFull: Chi-squared test
        Type: general
      – SubjectFull: Descriptive statistics
        Type: general
      – SubjectFull: Surveys
        Type: general
      – SubjectFull: Data analysis software
        Type: general
      – SubjectFull: Sexual health
        Type: general
      – SubjectFull: Japan
        Type: general
    Titles:
      – TitleFull: Experiences and evaluations of sex and reproductive health education, and fertility knowledge, among 18- to 19-year-old Japanese university students: a 2023 baseline survey.
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              M: 07
              Text: Jul2026
              Type: published
              Y: 2026
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